Organization Active NPI

Clearsky Medical Imaging LLC

  • Radiology Clinic/Center
  • Dallas, TX
National Provider Identifier
1942317847
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
R29992 Issued in TX
Legal business name
CLEARSKY MEDICAL IMAGING LLC
Practice address
12606 Greenville Ave
110
Dallas, TX 75243-1921
Phone
(972) 669-3100
Fax
(972) 669-3101
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brett Chandler
Title
Ceo
Phone
(813) 786-8712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X R29992 TX Primary

Addresses

Primary practice location

12606 Greenville Ave
110
Dallas, TX 75243-1921

Mailing address

12606 Greenville Ave
110
Dallas, TX 75243-1921
Phone (972) 669-3100

National Provider Directory

National Provider Directory

Locations

12606 Greenville Ave
Ste 110
Dallas, TX 75243
Phone (214) 361-2015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942317847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "972-669-3100",
            "fax_number": "972-669-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 GREENVILLE AVE",
            "address_2": "110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752431921",
            "telephone_number": "972-669-3100",
            "fax_number": "972-669-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARSKY MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-786-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": "R29992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.